Test 31, 20, 21, 19 Flashcards
You are dispatched to a 42-year-old male who was shot in the abdomen and thrown from a vehicle. The patient is critical and high-category trauma; however, due to the mechanism of injury, it is necessary to backboard the patient prior to transport. What is an important assessment before securing the patient?
Examining the patient for entrance and exit would
You are palpating the abdomen of a motor vehicle collision patient when you feel a pulsating mass. You should:
defer further abdominal palpation.
You are treating a patient with paradoxical motion on the left side of the chest. He is breathing is shallow at a rate of 4 breaths per minute. You should:
begin positive pressure ventilation.
What is a drawback to using sterile aluminum foil as an occlusive dressing?
The foil may lacerate eviscerated organs.
Which of the following is an accurate definition of a flail chest?
A section of the chest wall that is unstable, leading to breathing problems
The mechanism of injury in which a patient’s chest has struck an immovable object, such as a steering wheel, may most accurately be described as a(n):
compression injury
Which of the following describes the proper application of an occlusive dressing for an open chest wound?
Apply an occlusive dressing to each penetrating wound.
A patient with jugular vein distention is most likely suffering from which of the following injuries?
Tension pneumothorax
Which of the following best describes an evisceration?
Open wound of the abdomen from which organs protrude
You have covered an open chest wound with your gloved hand, and the patient’s breathing has improved. In order to free your hand to provide further care, you should:
cover the wound with an occlusive dressing.
Which of the following best describes the potential benefit of a three-sided occlusive dressing over a four-sided occlusive dressing for an open chest wound?
It may reduce the chances of developing a tension pneumothorax.
Your patient is a 17-year-old male baseball player found pulseless and apneic after being struck in the chest by a baseball 6 minutes ago. He is surrounded by other players and staff but no one is providing care. You should:
Begin chest compressions.
Which of the following is a strategy to maintain adherence of an occlusive dressing to bloody or diaphoretic skin?
Manually maintain pressure.
You are caring for a 27-year-old male who has a puncture wound to the right upper chest. The patient was stabbed with a serrated steak knife by his ex-girlfriend. You have placed an occlusive dressing on the site and begun emergent transport to the closest trauma center. However, while en route the patient begins to complain of increasing shortness of breath. You notice a decrease in ventilatory volume and an increase in thoracic diameter. Which of the following options would be the best step to perform next?
Free a corner or edge of the dressing to release pressure buildup.
device works by blowing oxygen or air continuously at a noninvasive pressure to prevent a patient’s alveoli from collapsing.
CPAP
Your patient is a 60-year-old female with a sudden onset of severe difficulty breathing. She has no prior history of respiratory problems. Which of the following should be done before applying oxygen by nonrebreather mask?
none of the above
Your patient is a 30-year-old female who may have overdosed on antidepressant medications. On your arrival, she is lying supine on her bed with her head on a pillow. She is unresponsive to painful stimuli and is snoring. She appears to be pale and her skin is cool and clammy. What should you do first?
remove the pillow
which of the following circumstances is medical direction necessary when assisting a patient with the use of a prescribed inhaler?
Medical control is necessary in all situations in which an EMT assists with a prescribed inhaler.
What is not one of the symptoms of a pulmonary embolus?
sudden calmness
Which of the following is the most proper dose of inhaled medication the EMT can assist the patient with administering?
The number of sprays directed by medical control
What condition is when there is an infection in one or both lungs caused by bacteria, viruses, or fungi?
pneumonia
What is the primary effect on the body when an EMT assists a patient with a prescribed inhaler if the patient is short of breath?
Dilation of the air passages
You are called to the scene of a 45-year-old nonsmoker male with a history of asthma in respiratory distress. You find him lying supine on the couch. The patient is lethargic but can answer all your questions appropriately. He is diaphoretic, and complains of being cold, coughing, and having difficulty breathing for the past 3 days. His vital signs are blood pressure of 110/70, heart rate of 116, respiratory rate of 24, oxygen saturation of 93%, and temperature of 100.6°F. You hear rhonchi in the left lobes and he is coughing up yellow-tinged sputum What condition do you suspect?
pneumonia
You are on the scene of a 5-year-old patient who is in respiratory distress. The mother states that the patient has been making a “seal bark”-sounding cough for the past 24 hours. The child is very scared. The patient has stable vital signs. He is leaning forward in the tripod position and is drooling profusely. After performing your primary assessment, what is your best treatment option?
Calm the child as much as possible and provide high-concentration oxygen.
When ventilating a child with inadequate respirations, which of the following is the maximum rate at which artificial respirations should be delivered?
20
Which of the following patients does not necessarily have inadequate breathing?
A patient with an irregular respiratory rhythm
Which of the following is a possible side effect of a prescribed inhaler for respiratory problems?
tremors
Which of the following sounds is high pitched and almost musical, and may be heard in lower respiratory obstruction?
wheezing
Today, patients with cystic fibrosis are surviving to:
adult hood
In what condition does fluid accumulate in the lungs, preventing them from breathing adequately?
pulmonary edema
When you hear wheezes while auscultating your patient’s breath sounds, which of the following is most likely the cause?
The lower air passages in the lungs are narrowed.
